Individual
DAVID D'ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12383 ANGLERS CV, FORT MYERS, FL 33908-1891
(908) 418-8398
Mailing address
12383 ANGLERS CV, FORT MYERS, FL 33908-1891
(908) 418-8398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00021000
NJ
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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